Breast Self-Examination Practice and Its Determinants among Women in Indonesia: A Systematic Review, Meta-Analysis, and Meta-Regression
Abstract
:1. Introduction
2. Materials and Methods
2.1. Eligibility Criteria
2.2. Information Sources
2.3. Search Strategy
2.4. Selection Process
2.5. Data Collection Process
2.6. Data Items
2.7. Study Risk of Bias Assessment
2.8. Effect Measures
2.9. Synthesis Methods
2.10. Publication Bias
3. Results
3.1. Study Selection
3.2. Study Characteristics
3.3. Risk of Bias in Studies
3.4. The Pooled Analysis of Breast Self-Examination Practice Prevalence in Indonesia
3.5. The Determinant Factors of Breast Self-Examination Practice in Indonesia
3.5.1. The Correlation between Breast Self-Examination Practice and Knowledge about Breast Cancer
3.5.2. The Correlation between Breast Self-Examination Practice and Family History of Breast Cancer
3.5.3. The Correlation between Breast Self-Examination Practice and Family Support
3.5.4. The Correlation between Breast Self-Examination Practice and Breast Cancer Information Exposure
3.5.5. The Correlation between Breast Self-Examination Practice and Educational Status
3.6. Meta-Regression
3.7. Publication Bias
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- World Health Organization. WHO Report on Cancer: Setting Priorities, Investing Wisely, and Providing Care for All. Geneva. 2020. Available online: https://www.who.int/publications-detail-redirect/9789240001299 (accessed on 30 May 2023).
- Azhar, Y.; Agustina, H.; Abdurahman, M.; Achmad, D. Breast Cancer in West Java: Where Do We Stand and Go? Indones. J. Cancer 2020, 14, 91–96. [Google Scholar] [CrossRef]
- Ng, C.H.; Bhoo-Pathy, N.; Taib, N.A.; Teh, Y.C.; Mun, K.S.; Amiruddin, A.; Evlina, S.; Rhodes, A.; Yip, C.H. Comparison of breast cancer in Indonesia and Malaysia—A clinico-pathological study between Dharmais Cancer Centre Jakarta and University Malaya Medical Centre, Kuala Lumpur. Asian Pac. J. Cancer Prev. 2011, 12, 2943–2946. [Google Scholar] [PubMed]
- Soekersi, H.; Azhar, Y.; Akbari, K.S. Role of Mammography In Breast Cancer Screening: A Literature Review. J. Indones. Med. Assoc. 2022, 72, 144–150. [Google Scholar] [CrossRef]
- Robinson, M.; Atmakusumah, T.D.; Irawan, C.; Shatri, H. Immunohistochemistry Profile of Breast Cancer Patients that Get Anthracyclin–Based Chemotherapy in RSUD Kota Bogor. J. Penyakit Dalam Indones. 2019, 6, 173–177. [Google Scholar] [CrossRef]
- Pippin, M.M.; Boyd, R. Breast Self Examination. Treasure Island (FL): StatPearls Publishing. 2022. Available online: https://www.ncbi.nlm.nih.gov/books/NBK565846/?report=reader#_NBK565846_pubdet (accessed on 2 November 2022).
- National Breast Cancer Foundation. Breast Self-Exam. National Breast Cancer Foundation, Inc. 2022. Available online: https://www.nationalbreastcancer.org/breast-self-exam (accessed on 2 November 2022).
- Pearlman, M.; Jeudy, M.; Chelmow, D. Practice Bulletin Number 179. Breast Cancer Risk Assessment and Screening in Average-Risk Women. Obstet. Gynecol. 2017, 130, E1–E16. [Google Scholar]
- Yeshitila, Y.G.; Kassa, G.M.; Gebeyehu, S.; Memiah, P.; Desta, M. Breast self-examination practice and its determinants among women in Ethiopia: A systematic review and meta-analysis. PLoS ONE 2021, 16, e0245252. [Google Scholar] [CrossRef]
- Amegbedzi, R.A.; Komesuor, J.; Amu, H.; Tarkang, E.E. Factors Influencing the Practice of Breast Self-Examination among Female Tertiary Students in Ho, Ghana. Adv. Public Health 2022, 2022, 7724050. [Google Scholar] [CrossRef]
- Tuyen, D.Q.; Dung, T.V.; Van Dong, H.; Kien, T.T.; Huong, T.T. Breast Self-Examination: Knowledge and Practice Among Female Textile Workers in Vietnam. Cancer Control. 2019, 26, 1073274819862788. [Google Scholar] [CrossRef] [Green Version]
- Suhariyanto, S. Statistical Yearbook of Indonesia 2020. Jakarta. 2020. Available online: https://www.bps.go.id/publication/2020/04/29/e9011b3155d45d70823c141f/statistik-indonesia-2020.html (accessed on 30 May 2023).
- Mahendradhata, Y.; Trisnantoro, L.; Listyadewi, S.; Soewondo, P.; Marthias, T.; Harimurti, P.; Prawira, J. The Republic of Indonesia health system review. WHO Regional Office for South-East Asia. Health Syst. Transit. 2017, 7. Available online: https://apps.who.int/iris/handle/10665/254716 (accessed on 30 May 2023).
- KOMPAS Team. Anticipating Health Care Crisis Outside Java. Kompas. 2021. Available online: https://www.kompas.id/baca/english/2021/07/29/anticipating-health-care-crisis-outside-java/ (accessed on 2 November 2022).
- Putri, N.K.; Wulandari, R.D.; Syahansyah, R.J.; Grépin, K.A. Determinants of out-of-district health facility bypassing in East Java, Indonesia. Int. Health 2021, 13, 545–554. [Google Scholar] [CrossRef]
- Yurianto, A. Rencana Aksi Program (RAP) 2020–2024. Jakarta. 2020. Available online: https://e-renggar.kemkes.go.id/file_performance/1-029017-2tahunan-218.pdf (accessed on 30 May 2023).
- Munn, Z.; Moola, S.; Lisy, K.; Riitano, D.; Tufanaru, C. Methodological guidance for systematic reviews of observational epidemiological studies reporting prevalence and cumulative incidence data. JBI Evid. Implement. 2015, 13, 147–153. [Google Scholar] [CrossRef] [PubMed]
- Page, M.J.; Moher, D.; Bossuyt, P.M.; Boutron, I.; Hoffmann, T.C.; Mulrow, C.D.; Shamseer, L.; Tetzlaff, J.M.; Akl, E.A.; Brennan, S.E.; et al. PRISMA 2020 explanation and elaboration: Updated guidance and exemplars for reporting systematic reviews. BMJ 2021, 372, n160. [Google Scholar] [CrossRef] [PubMed]
- Migliavaca, C.B.; Stein, C.; Colpani, V.; Munn, Z.; Falavigna, M. Quality assessment of prevalence studies: A systematic review. J. Clin. Epidemiol. 2020, 127, 59–68. [Google Scholar] [CrossRef] [PubMed]
- Arifin, W.N. Introduction to sample size calculation. Educ. Med. J. 2013, 5, e89–e96. [Google Scholar] [CrossRef]
- Adimuntja, N.P.; Nurdin, M.A.; Ahmad, Z.F. Determinant of sadari behavior in the early detection effort of breast cancer among female students in the public health faculty of cenderawasih university. Jambura J. Health Sci. Res. 2022, 4, 574–586. [Google Scholar] [CrossRef]
- Ajeng, A.A.A.; Gauri, E.A. Hubungan pengetahuan dan informasi dengan perilaku sadari di mts mathla’ul anwar kota tangerang tahun 2015. J. Komun. Kesehat. 2017, 8, 17–28. [Google Scholar]
- Amelia, C.; Susanti, R. Hubungan pengetahuan tentang kanker payudara dengan tindakan melakukan sadari pada wanita usia subur di wilayah kerja puskesmas kabil kota batam. Zona Kebidanan: Program Studi Kebidanan Univ. Batam 2021, 11, 21–28. [Google Scholar]
- Angrainy, R. Hubungan pengetahuan, sikap tentang sadari dalam mendeteksi dini kanker payudara pada remaja. J. Endur. Kaji. Ilm. Probl. Kesehat. 2017, 2, 232–238. [Google Scholar] [CrossRef] [Green Version]
- Arafah, A.B.R.; Notobroto, H.B. Faktor yang berhubungan dengan perilaku ibu rumah tangga melakukan pemeriksaan payudara sendiri (sadari). Indones. J. Public Health 2018, 12, 143–153. [Google Scholar] [CrossRef] [Green Version]
- Artikasari, L.; Herniawati, H.; Susilawati, E. Faktor-faktor yang berhubungan dengan perilaku wanita usia subuh terhadap deteksi dini ca mammae menggunakan teknik sadari. J. Ilm. Obs. 2021, 13, 1–9. [Google Scholar]
- Cane, P.S.; Joharsah, J.; Lestari, F. Hubungan pengetahuan dan sikap tentang kanker payudara dengan tindakan sadari pada wanita usia subur di kecamatan lawe bulan kebupaten aceh tenggara tahun 2021. J. Matern. Kebidanan 2021, 6, 57–65. [Google Scholar] [CrossRef]
- Dewi, A.I.C.; Widyanthini, D.N.; Kurniasari, N.M.D. Tingkat pengetahuan, sikap dan perilaku wanita usia subur terhadap deteksi dini kanker payudara dengan metode sadari di wilayah kerja puskesmas iii denpasar utara tahun 2017. Arch. Community Health 2017, 4, 68–80. [Google Scholar] [CrossRef]
- Dewi, R.; Lisdyani, K.; Budhiana, J.; Tinggi Ilmu Kesehatan Sukabumi S. Correlation between knowledge and early detection of breast cancer of teenage girls in man 1 sukabumi working area of sekarwangi health sukabumi regency. J. Kesehat. Al-Irsyad 2021, 14, 68–78. [Google Scholar]
- Dewi, T.K.; Massar, K.; Ruiter, R.A.C.; Leonardi, T. Determinants of breast self-examination practice among women in Surabaya, Indonesia: An application of the health belief model. BMC Public Health 2019, 19, 1581. [Google Scholar] [CrossRef] [PubMed]
- Dewi, T.K.; Ruiter, R.A.; Diering, M.; Ardi, R.; Massar, K. Breast self-examination as a route to early detection in a lower-middle-income country: Assessing psychosocial determinants among women in Surabaya, Indonesia. BMC Women’s Health 2022, 22, 179. [Google Scholar] [CrossRef] [PubMed]
- Fahriani, M.; Sari, R.M.; Ramadhaniati, Y.; Conefi, E. The relationship between mother’s knowledge and breast self-examination (BSE) in the kembang mumpo health center work area. Midwifery Health J. 2021, 6, 1–8. [Google Scholar] [CrossRef]
- Fatrin, T.; Apriani, N. Pengetahuan remaja putri tentang pemeriksaan payudara sendiri (sadari) dengan prilaku sadari sman 11 palembang. J. Kesehat. Abdurrahman 2020, 9, 19–26. [Google Scholar] [CrossRef]
- Ginting, L. Hubungan pengetahuan dengan pemeriksaan payudara sendiri (sadari) sebagai deteksi dini kanker payudara pada mahasiswa diii kebidanan stikes murni teguh. Indones. Trust. Health J. 2019, 1, 44–49. [Google Scholar] [CrossRef]
- Hanifah, A.N.; Kirwono, B.; Wijayanti, A.C. Faktor-faktor yang berhubungan dengan perilaku wanita usia subur dalam melakukan deteksi dini kanker payudara metode sadari di wilayah kerja puskesmas nusukan surakarta. Univ. Muhammadiyah Surakarta 2017, 1, 1–13. [Google Scholar]
- Hinga, I.A.T. Gambaran perilaku mahasiswi dalam pemeriksaan payudara sendiri (sadari). Chmk Health J. 2019, 3, 27–34. [Google Scholar]
- Immawati, I.; Utami, I.T. Correlation between breast cancer knowledge of student akper dharma wacana metro and behavior breast self-examination. Wacana Kesehat. 2017, 1, 154–162. [Google Scholar]
- Karnawati, P.W.W.; Suariyani, N.L.P. Faktor yang memengaruhi perilaku pemeriksaan payudara sendiri (sadari) pada wanita usia subur. Arch. Community Health 2022, 9, 150–160. [Google Scholar] [CrossRef]
- Khairunnissa, A.; Wahyuningsih, S.; Irsyad, N.S. Faktor-faktor yang berhubungan dengan perilaku pemeriksaan payudara sendiri (SADARI) pada mahasiswi Fakultas Kedokteran Universitas Pembangunan Nasional “Veteran” Jakarta, 2017. J. Profesi Med. J. Kedokt. Dan Kesehat. 2017, 11, 73–80. [Google Scholar] [CrossRef]
- Khotimah, S. Breast self-examination among reproductive women in caringin health center legok district tangerang regency in 2019. Health Sci. Midwifery 2019, 8, 1–10. [Google Scholar]
- Kris, D.P. Hubungan antara pengetahuan tentang kanker payudara dengan perilaku pemeriksaan sadari. J. Bidan Pint. 2019, 1, 1–12. [Google Scholar]
- Kurniawati, T.; Setiyowati, W.; Puspitasari, A. Hubungan tingkat pengetahuan sadari dengan praktik sadari pada remaja putri di desa sinar agung kecamatan way tenong kabupaten lampung barat. Midwifery Care J. 2021, 2, 97–102. [Google Scholar] [CrossRef]
- Kusumaningrum, T.A.I.; Sari, N.K. Aplikasi health belief model pada perilaku mahasiswi kesehatan masyarakat dalam pemeriksaan payudara sendiri (sadarI). J. Kesehat. 2018, 11, 1–11. [Google Scholar] [CrossRef]
- Lula, F.; Wahjudi, P.; Prasetyowati, I. Determinan praktik sadari pada mahasiswi fakultas non kesehatan di universitas jember. J. Kesehat. 2018, 6, 68–75. [Google Scholar]
- Mularsih, S.; Cahyaningrum, F.; Rubiyanti, E.S. Hubungan tingkat pengetahuan dengan praktik sadari pada wanita usia subur di kelurahan kemijen semarang timur kota semarang. J. Siklus 2017, 6, 238–244. [Google Scholar] [CrossRef]
- Puspitasari, Y.D.; Susanto, T.; Nur, M.K.R. Relationship of the role of family with knowledge, attitude, and practice of breast self-examination (BSE) among adolescent girl in jelbuk sub-district jember, east java. J. Kesehat. Reproduksi 2019, 10, 59–68. [Google Scholar] [CrossRef]
- Riadinata, R.; Pratiwi, F. Pengaruh tingkat pengetahuan ibu tentang kanker payudara dengan perilaku sadari pada ibu rumah tangga. J. Ilmu Kebidanan 2017, 3, 152–161. [Google Scholar]
- Sari, I.G.; Saputri, M.E.; Lubis, R. Factors related to conscious behavior in adolescent women at smk pandutama bogor in 2021. J. Penelit. Keperawatan Kontemporer 2022, 2, 98–106. [Google Scholar] [CrossRef]
- Sari, R.J.; Lutan, D.; Syarifah, S. Determinan tindakan sadari sebagai deteksi dini kanker payudara pada wanita usia subur (wus) di desa pasar rawa kecamatan gebang kabupaten lengkat tahun 2015. J. Matern. Dan Neonatal 2017, 2, 26–34. [Google Scholar]
- Sari, W.Y.; Aisyah, S.; Yunola, S. Faktor-faktor yang berhubungan dengan praktik pemeriksaan payudara sendiri (sadari) pada siswi kelas xi man i palembang tahun 2021. J. Ilm. Univ. Batanghari Jambi 2022, 22, 177–181. [Google Scholar] [CrossRef]
- Sebayang, W.B. Hubungan pengetahuan dan sikap dengan tindakan sadari dalam mendeteksi dini ca mammae pada wanita usia subur di klinik nana diana medan tahun 2018. J. Ilm. Kebidanan IMELDA 2018, 4, 589–593. [Google Scholar]
- Siboro, Y.K.; Rasyid, Z.; Alhidayati, A.; Syukaisih, S. Determinant of self-breast examination in women of childbearing age on simpang tiga region pekanbaru. J. Community Health 2020, 28, 19–24. [Google Scholar]
- Siregar, R. Breast self-examination practice determinants (bse) to student in class xi public senior high school 3 karawang. J. Ilm. Kesehat. Inst. Med. Drgsuherman 2019, 1, 1–9. [Google Scholar]
- Sunarni, N.; Srinayanti, Y.; Fitriani, A.; Silvia, R. Pengetahuan dan penatalaksanaan sadari pada mahasiswi prodi s1 keperawatan stikes muhammadiyah ciamis. Tunas-Tunas Ris. Kesehat. 2020, 10, 38–41. [Google Scholar]
- Supatmi, S. The relationship between knowledge levels and attitudes of young women on the implementation of sadari at sma negeri 1 belitang 3 oku timur in 2022. Bina Husada 2022, 8, 1–8. [Google Scholar]
- Susanti, R. Prilaku sadari pada dosen di fakultas kesehatan universitas mohammad husni thamrin jakarta. J. Ilmu Kesehat. 2017, 9, 65–71. [Google Scholar]
- Tuelah, G.; Telew, A.; Bawiling, N. Hubungan pengetahuan dan sikap dengan tindakan sadari pada siswi kelas 12 sma negeri 2 bitung. J. Kesehat. Masy. UNIMA 2020, 1, 30–36. [Google Scholar]
- Wahyuni, S.; Meyasa, L. Faktor yang berhubungan dengan praktik pemeriksaan payudara sendiri (sadari) pada Remaja. J. SMART Kebidanan 2020, 7, 52–57. [Google Scholar] [CrossRef]
- Wantini, N.A.; Indrayani, N. Pengetahuan tentang kanker payudara dan perilaku periksa payudara sendiri (sadari) pada remaja putri di sma negeri 1 turi, sleman, diy. Pros. Semin. Nas. 2017, 1, 362–369. [Google Scholar]
- Wulandari, F.; Ayu, S.M. Hubungan tingkat pengetahuan dan sikap dengan perilaku pemeriksaan payudara sendiri (sadari) mahasiswi. Pros. Semin. Nas. 2017, 3, 137–144. [Google Scholar]
- Zulaika, C.; Rochmayani, D.S. Factors related to conscious behavior in diii physiotherapy students. J. Ilm. STIKES Kendal 2021, 11, 117–122. [Google Scholar]
- Yuni, A.N. Influences of Regional Inequality in Education in Indonesia. Ph.D. Thesis, Tohoku University, Sendai, Japan, 2017. [Google Scholar]
- Koike, I.; Chompikul, J.; Thepthien, B.O.; Maikhan, N. Determinants of monthly breast self-examination among women in Samut Songkhram Province, Thailand. J. Public Health Dev. 2018, 16, 29–43. [Google Scholar]
- Ahmad, S.; Alloubani, A.; Abu-Sa’da, R.; Qutaiba, Y. Breast Self-Examination: Knowledge, Practice, and Beliefs Among Females in Jordan. SAGE Open Nurs 2022, 5, 237796082211245. [Google Scholar] [CrossRef]
- Thaineua, V.; Ansusinha, T.; Auamkul, N.; Taneepanichskul, S.; Urairoekkun, C.; Jongvanich, J.; Chitapanarux, I. Impact of regular Breast Self-Examination on breast cancer size, stage, and mortality in Thailand. Breast J. 2020, 26, 822. [Google Scholar] [CrossRef] [Green Version]
- Sarker, R.; Islam, S.; Moonajilin, M.S.; Rahman, M.; Gesesew, H.A.; Ward, P.R. Knowledge of breast cancer and breast self-examination practices and its barriers among university female students in Bangladesh: Findings from a cross-sectional study. PLoS ONE 2022, 17, e0270417. [Google Scholar] [CrossRef] [PubMed]
- Woynarowska-Sołdan, M.; Panczyk, M.; Iwanow, L.; Bączek, G.; Gałązkowski, R.; Gotlib, J. Breast self-examination among nurses in Poland and their reparation in this regard. Ann. Agric. Environ. Med. 2019, 26, 450–455. [Google Scholar] [CrossRef]
- Altobelli, E.; Rapacchietta, L.; Angeletti, P.M.; Barbante, L.; Profeta, F.V.; Fagnano, R. Breast Cancer Screening Programmes across the WHO European Region: Differences among Countries Based on National Income Level. Int. J. Environ. Res. Public Health 2017, 14, 452. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- World Health Organization. State of Health Inequality in Indonesia. 2017. Available online: https://apps.who.int/iris/handle/10665/259685 (accessed on 30 May 2023).
- Haji-Mahmoodi, M.; Montazeri, A.; Jarvandi, S.; Ebrahimi, M.; Haghighat, S.; Harirchi, I. Breast Self-Examination: Knowledge, Attitudes, and Practices Among Female Health Care Workers in Tehran, Iran. Breast J. 2002, 8, 222–225. [Google Scholar] [CrossRef] [PubMed]
- Yavari, P.; Pourhoseingholi, M.A. Socioeconomic factors association with knowledge and practice of breast self-examination among Iranian women. Asian Pac. J. Cancer Prev. 2008, 8, 618–622. [Google Scholar]
- Opoku, S.Y.; Benwell, M.; Yarney, J. Knowledge, attitudes, beliefs, behaviour and breast cancer screening practices in Ghana, West Africa. Pan Afr. Med. J. 2012, 11, 28. [Google Scholar]
- Fondjo, L.A.; Owusu-Afriyie, O.; Sakyi, S.A.; Wiafe, A.A.; Amankwaa, B.; Acheampong, E.; Ephraim, R.K.D.; Owiredu, W.K.B.A. Comparative Assessment of Knowledge, Attitudes, and Practice of Breast Self-Examination among Female Secondary and Tertiary School Students in Ghana. Int. J. Breast Cancer 2018, 2018, 7502047. [Google Scholar] [CrossRef] [Green Version]
- Amoran, O.E.; Toyobo, O.O. Predictors of breast self-examination as cancer prevention practice among women of reproductive age-group in a rural town in Nigeria. Niger. Med. J. 2015, 56, 185–189. [Google Scholar] [CrossRef] [Green Version]
- Raghupathi, V.; Raghupathi, W. The influence of education on health: An empirical assessment of OECD countries for the period 1995–2015. Arch. Public Health 2020, 78, 20. [Google Scholar] [CrossRef] [Green Version]
- Fatimah, M.A.; Juni, M.H.; Rosliza, A.M. Factors associated with the practice of breast self-examination: A systematic review. Int. J. Public Health Clin. Sci. 2018, 5, 1–12. [Google Scholar]
- Alwan, N.; Al-Attar, W.; Eliessa, R.; Madfaie, Z.; Tawfeeq, F. Knowledge, attitude and practice regarding breast cancer and breast self-examination among a sample of the educated population in Iraq. East. Mediterr. Health J. 2012, 18, 337–345. [Google Scholar] [CrossRef] [PubMed]
- Ferro, S.; Caroli, A.; Nanni, O.; Biggeri, A.; Gambi, A. A cross sectional survey on breast self examination practice, utilization of breast professional examination, mammography and associated factors in Romagna, Italy. Tumori J. 1992, 78, 98–105. [Google Scholar] [CrossRef] [PubMed]
- Harvey, B.J.; Miller, A.B.; Baines, C.J.; Corey, P.N. Effect of breast self-examination techniques on the risk of death from breast cancer. Can. Med. Assoc. J. 1997, 157, 1205–1212. [Google Scholar]
- Doganer, Y.C.; Aydogan, U.; Kilbas, Z.; Rohrer, J.E.; Sari, O.; Usterme, N.; Yuksel, S.; Akbulut, H.; Balkan, S.M.; Saglam, K.; et al. Predictors Affecting Breast Self-Examination Practice among Turkish Women. Asian Pac. J. Cancer Prev. 2014, 15, 9021–9025. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Al-Naggar, R.A.; Al-Naggar, D.H.; Bobryshev, Y.V.; Chen, R.; Assabri, A. Practice and barriers toward breast self-examination among young Malaysian women. Asian Pac. J. Cancer Prev. 2011, 12, 1173–1178. [Google Scholar] [PubMed]
- Abolfotouh, M.A.; Banimustafa, A.A.; Mahfouz, A.A.; Al-Assiri, M.H.; Al-Juhani, A.F.; Alaskar, A.S. Using the health belief model to predict breast self examination among Saudi women. BMC Public Health 2015, 15, 1163. [Google Scholar] [CrossRef] [PubMed] [Green Version]
Authors, Year | Study Area, Region | Study Setting | Study Design | Study Population | Age | Sample Size |
---|---|---|---|---|---|---|
Adimuntja NP et al. 2022 [21] | Jayapura, Non-Java | University-based | Cross-sectional | Students | 18–23 | 250 |
Ajeng A et al. 2017 [22] | Tangerang, Java | School-based | Cross-sectional | Students | NI | 72 |
Amelia C et al. 2021 [23] | Batam, Non-Java | PHC-based | Cross-sectional | Fertile women | NI | 92 |
Angrainy R, 2017 [24] | Pekanbaru, Non-Java | School-based | Cross-sectional | Students | 15–17 | 50 |
Arafah ABR et al. 2017 [25] | Surabaya, Java | Community-based | Cross-sectional | Fertile women | 40–50 | 100 |
Artikasari L et al. 2021 [26] | Jambi, Non-Java | PHC-based | Cross-sectional | Fertile women | NI | 98 |
Cane PS et al. 2019 [27] | Aceh, Non-Java | Community-based | Cross-sectional | Fertile women | 20–45 | 110 |
Dewi IC et al. 2017 [28] | Denpasar, Non-Java | PHC-based | Cross-sectional | Fertile women | 20–49 | 94 |
Dewi R et al. 2021 [29] | Sukabumi, Java | School-based | Cross-sectional | Students | 15–18 | 272 |
Dewi TK et al. 2019 [30] | Surabaya, Java | Community-based | Cross-sectional | Fertile women | 20–60 | 1967 |
Dewi TK et al. 2022 [31] | Surabaya, Java | Community-based | Cross-sectional | Fertile women | 18–61 | 204 |
Fahriani M et al. 2021 [32] | Bengkulu, Non-Java | PHC-based | Cross-sectional | Fertile women | NI | 47 |
Fatrin T et al. 2020 [33] | Palembang, Non-Java | School-based | Cross-sectional | Students | NI | 92 |
Ginting L, 2019 [34] | Medan, Non-Java | University-based | Cross-sectional | Students | 17–25 | 32 |
Hanifah AN, 2015 [35] | Surakarta, Java | PHC-based | Cross-sectional | Fertile women | 15–49 | 147 |
Herman IVI et al. 2019 [36] | Kupang, Non-Java | University-based | Cross-sectional | Students | 16–24 | 82 |
Immawati et al. 2020 [37] | Lampung, Non-Java | University-based | Cross-sectional | Students | 17–21 | 196 |
Karnawati PWW et al. 2022 [38] | Mataram, Non-Java | Community-based | Cross-sectional | Fertile women | 20–49 | 170 |
Khairunnissa A et al. 2017 [39] | Jakarta, Java | University-based | Cross-sectional | Students | NI | 108 |
Khotimah S, 2019 [40] | Tangerang, Java | PHC-based | Cross-sectional | Fertile women | 15–50 | 98 |
Kris D, 2019 [41] | Kediri, Java | School-based | Cross-sectional | Students | NI | 67 |
Kurniawati T et al. 2021 [42] | Lampung, Non-Java | Community-based | Cross-sectional | Fertile women | 15–21 | 20 |
Kusumaningrum T et al. 2018 [43] | Surakarta, Java | University-based | Cross-sectional | Students | 20–23 | 106 |
Lula F et al. 2018 [44] | Jember, Java | University-based | Cross-sectional | Students | ≥20 | 227 |
Mularsih S et al. 2017 [45] | Semarang, Java | Community-based | Cross-sectional | Fertile women | 15–40 | 42 |
Puspitasari YD et al. 2021 [46] | Jember, Java | Community-based | Cross-sectional | Teenagers | 10–19 | 60 |
Riadinata et al. 2021 [47] | Bantul, Java | Community-based | Cross-sectional | Fertile women | 20–35 | 91 |
Sari IG et al. 2022 [48] | Bogor, Java | School-based | Cross-sectional | Students | NI | 50 |
Sari RJ et al. 2017 [49] | Medan, Non-Java | Community-based | Cross-sectional | Fertile women | 20–49 | 62 |
Sari WY et al. 2022 [50] | Palembang, Non-Java | School-based | Cross-sectional | Students | NI | 63 |
Sebayang W et al. 2018 [51] | Medan, Non-Java | PHC-based | Cross-sectional | Fertile women | 25–49 | 50 |
Siboro YK et al. 2018 [52] | Pekanbaru, Non-Java | Community-based | Cross-sectional | Fertile women | 15–49 | 131 |
Siregar R, 2019 [53] | Karawang, Java | School-based | Cross-sectional | Students | NI | 320 |
Sunarni N et al. 2020 [54] | Ciamis, Java | University-based | Cross-sectional | Students | NI | 76 |
Supatmi, 2021 [55] | Palembang, Non-Java | School-based | Cross-sectional | Students | NI | 62 |
Susanti R, 2017 [56] | Jakarta, Java | University-based | Cross-sectional | Students | NI | 118 |
Tuelah G et al. 2020 [57] | Manado, Non-Java | School-based | Cross-sectional | Students | NI | 138 |
Wahyuni S et al. 2020 [58] | Palangkaraya, Non-Java | Community-based | Cross-sectional | Teenagers | NI | 108 |
Wantini NA et al. 2017 [59] | Sleman, Java | School-based | Cross-sectional | Students | NI | 62 |
Wulandari F et al. 2017 [60] | Kuningan, Java | University-based | Cross-sectional | Students | 20–30 | 170 |
Zulaika C et al. 2021 [61] | Semarang, Java | University-based | Cross-sectional | Students | 17–21 | 47 |
Disclaimer/Publisher’s Note: The statements, opinions and data contained in all publications are solely those of the individual author(s) and contributor(s) and not of MDPI and/or the editor(s). MDPI and/or the editor(s) disclaim responsibility for any injury to people or property resulting from any ideas, methods, instructions or products referred to in the content. |
© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Azhar, Y.; Hanafi, R.V.; Lestari, B.W.; Halim, F.S. Breast Self-Examination Practice and Its Determinants among Women in Indonesia: A Systematic Review, Meta-Analysis, and Meta-Regression. Diagnostics 2023, 13, 2577. https://doi.org/10.3390/diagnostics13152577
Azhar Y, Hanafi RV, Lestari BW, Halim FS. Breast Self-Examination Practice and Its Determinants among Women in Indonesia: A Systematic Review, Meta-Analysis, and Meta-Regression. Diagnostics. 2023; 13(15):2577. https://doi.org/10.3390/diagnostics13152577
Chicago/Turabian StyleAzhar, Yohana, Ricarhdo Valentino Hanafi, Bony Wiem Lestari, and Freda Susana Halim. 2023. "Breast Self-Examination Practice and Its Determinants among Women in Indonesia: A Systematic Review, Meta-Analysis, and Meta-Regression" Diagnostics 13, no. 15: 2577. https://doi.org/10.3390/diagnostics13152577